Active NPI
Arrealle Tatiana Owens, LCSW
- Clinical Social Worker
- Burlington, NC
National Provider Identifier
1992573273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C016535
- Practice address
- 2971 Crouse LN
Burlington, NC 27215-8445 - Phone
- (704) 832-2200
- Fax
- (704) 838-1541
- NPI assigned
- Dec 15, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C016535 | NC | Primary |
Addresses
Primary practice location
2971 Crouse LN
Burlington, NC 27215-8445
Mailing address
194 Barium Springs Dr
Statesville, NC 28677-8453
Phone (704) 872-7638
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C016535 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arrow Therapy PLLC | Clinical | Current | Accepting new patients |
| Barium Springs Home for Children | Clinical | Current | Accepting new patients |
Locations
2971 Crouse Ln
Burlington, NC 27215
Phone (336) 524-1628
194 Barium Springs Dr
Statesville, NC 28677
209 Barium Springs Dr
Statesville, NC 28677
Phone (704) 872-7638
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Social Worker
- Greensboro, NC
- NPI 1851258628
-
- Community/Behavioral Health Agency
- Burlington, NC
- NPI 1639488554
Clinical
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1702598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702598400000",
"number": "1992573273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "194 BARIUM SPRINGS DR",
"city": "STATESVILLE",
"state": "NC",
"postal_code": "286778453",
"telephone_number": "704-872-7638"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2971 CROUSE LN",
"city": "BURLINGTON",
"state": "NC",
"postal_code": "272158445",
"telephone_number": "704-832-2200",
"fax_number": "704-838-1541"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OWENS",
"first_name": "ARREALLE",
"middle_name": "TATIANA",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-12-15",
"last_updated": "2023-12-15",
"certification_date": "2023-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C016535",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Burlington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.